HIPAA COMPLIANCE

Protecting Your Patients' Health Information with Enterprise-Grade Security

Framework Consulting Corp. d/b/a MyMedPro.io is fully committed to HIPAA compliance and protecting the privacy and security of Protected Health Information (PHI). As your trusted Business Associate, we implement comprehensive safeguards that meet or exceed HIPAA requirements.

🛡️ OUR HIPAA COMMITMENT

Business Associate Status

Framework Consulting Corp. operates as a HIPAA Business Associate, providing AI-powered healthcare communication services to Covered Entities (healthcare providers).
We:

Never act as a Covered Entity - We don't provide direct healthcare services
Process PHI solely on your behalf - Only for authorized service delivery purposes
Maintain strict data segregation - Each client's PHI is completely isolated
Provide full transparency - Complete audit trails and compliance documentation

Compliance Foundation

✅

Business Associate Agreements (BAAs) Required

- Signed before any PHI processing

✅

HIPAA Security Officer

- Dedicated compliance leadership

✅

Annual Risk Assessments

- Comprehensive security evaluations

✅

Workforce Training

- Regular HIPAA education for all staff

✅

Incident Response Plan

- 60-day breach notification procedures

HIPAA SAFEGUARDS IMPLEMENTATION

Administrative Safeguards (§164.308)

Security Officer Assignment

Designated HIPAA Security Officer with defined responsibilities
Privacy Officer managing all PHI-related policies and procedures
Clear accountability chain for security and privacy decisions

Workforce Training and Access Management

Comprehensive HIPAA training for all employees (annually required)
Role-based access controls with least privilege principle
Regular access reviews and permission updates
Immediate access revocation upon employee termination

Information Access Management

Unique user identification for each person with PHI access
Automated logoff procedures for idle sessions (30-minute timeout)
Encryption of PHI during transmission and at rest
Audit logs tracking all PHI access and modifications

Security Incident Procedures

24/7 monitoring for security incidents and potential breaches
Documented incident response procedures with clear escalation paths
Breach notification within 24 hours to Covered Entities
Comprehensive incident documentation and remediation tracking

Contingency Plan

Data backup and disaster recovery procedures
Business continuity planning with minimal service disruption
Regular testing of backup and recovery systems
Geographic distribution of backup systems for redundancy

Evaluation

Annual compliance assessments and security audits
Regular policy and procedure reviews and updates
Third-party security evaluations and penetration testing
Continuous monitoring of regulatory requirement changes

Physical Safeguards (§164.310)

Facility Access Controls

SOC 2 Type II certified data centers with 24/7 physical security
Biometric access controls and multi-factor authentication
Security cameras and visitor management systems
Environmental controls (temperature, humidity, fire suppression)

Workstation Use

Secure workstation configuration with endpoint protection
Screen locks and automatic logout procedures
Clean desk policies and secure document storage
Restricted physical access to PHI-containing workstations

Device and Media Controls

Encrypted storage devices and secure data disposal procedures
Asset management and tracking for all PHI-containing devices
Secure transportation of electronic media
Certificate of destruction for decommissioned equipment

Technical Safeguards (§164.312)

Access Control

Unique user identification and authentication for each person
Role-based access controls with minimum necessary access
Multi-factor authentication required for all system access
Regular access reviews and privilege management

Audit Controls

Comprehensive logging of all system access and PHI interactions
Real-time monitoring and alerting for suspicious activities
Log retention for minimum 6 years as required by HIPAA
Regular audit log review and analysis

Integrity

Data integrity verification through checksums and validation
Version control and change management for PHI
Protection against unauthorized alteration or destruction
Regular data integrity verification and monitoring

Person or Entity Authentication

Strong authentication mechanisms for all users
Certificate-based authentication for system-to-system communications
Regular authentication testing and security assessments
Multi-factor authentication for privileged access

Transmission Security

TLS 1.3 encryption for all data transmission
End-to-end encryption for voice communications
Secure APIs with authentication and authorization
Regular security testing of transmission mechanisms

ENCRYPTION AND DATA PROTECTION

Data at Rest

AES-256 encryption for all stored PHI
Hardware Security Modules (HSM) for key management
Encrypted database storage with separate encryption keys
Secure backup encryption with geographic distribution

Data in Transit

TLS 1.3 encryption for all web communications
Encrypted voice communications for patient calls
Secure API connections with certificate pinning
VPN protection for administrative access

Key Management

Centralized key management with role-based access
Regular key rotation following industry best practices
Secure key storage in hardware security modules
Key escrow procedures for disaster recovery

COMPLIANCE MONITORING & AUDITING

Continuous Monitoring

Real-Time Security Monitoring

24/7 Security Operations Center (SOC) monitoring
Automated threat detection and incident response
Real-time alerts for potential security violations
Continuous vulnerability scanning and assessment

Compliance Dashboards

Real-time compliance status monitoring
Automated compliance reporting and documentation
Key performance indicators for security metrics
Regular compliance scorecards and assessments

Regular Audits

Internal Audits

Monthly security assessments and vulnerability scans
Quarterly compliance audits and policy reviews
Annual comprehensive security and privacy audits
Ongoing risk assessments and mitigation planning

External Audits

Annual third-party security audits and penetration testing
SOC 2 Type II certification and ongoing monitoring
Independent HIPAA compliance assessments
Regular vulnerability assessments by certified security firms

🔄 BUSINESS ASSOCIATE AGREEMENT (BAA)

BAA Requirements

Mandatory Execution

BAA must be signed before any PHI processing begins
Comprehensive terms covering all HIPAA requirements
Clear definitions of permitted uses and disclosures
Specific security and privacy obligations

Key BAA Provisions

Permitted Uses: Only those necessary for service delivery
Safeguards: Administrative, physical, and technical protections
Subcontractor Management: Required BAAs with all subcontractors
Individual Rights: Access, amendment, and accounting procedures
Breach Notification: 24-hour notification to Covered Entity
Data Return/Destruction: Within 30 days of termination

Subcontractor Management

Current HIPAA-Compliant Subcontractors

Subcontractor
Service
BAA Status
Security Certifications

Amazon Web Services
Cloud Infrastructure
✅ Executed
SOC 2, ISO 27001, HITRUST

Twilio
Communications Platform
✅ Executed
SOC 2, ISO 27001

Stripe
Payment Processing
✅ Executed
PCI DSS Level 1

Subcontractor Requirements

Signed Business Associate Agreements with all subcontractors
Regular security assessments and compliance monitoring30-day advance notice before engaging new subcontractors
Right to object to new subcontractors for security reasons

INDIVIDUAL RIGHTS UNDER HIPAA

Access Rights (§164.524)

Patient Rights

Right to access PHI in a Designated Record Set
Response within 30 days (with possible 30-day extension)
Provision of PHI in the requested format when possible
Reasonable fees for copying and mailing (if applicable)

Our Process

Requests processed through your healthcare provider
Secure delivery of PHI in requested format
Complete audit trail of access requests and responses
Coordination with your existing patient access procedures

Amendment Rights (§164.526)

Patient Rights

Right to request amendments to inaccurate PHI
Response within 60 days of request
Acceptance or denial with written explanation
Documentation of all amendment requests and responses

Our Process

Amendment requests processed through healthcare provider
Updates made within 60 days of authorized amendment request
Complete audit trail of all amendments and changes
Notification to relevant subcontractors of amendments

Accounting of Disclosures (§164.528)

Patient Rights

Right to accounting of PHI disclosures (past 6 years)
Response within 60 days of request
Free accounting once per year, reasonable fees thereafter
Exclusion of disclosures for treatment, payment, and operations

Our Process

Comprehensive logging of all PHI disclosures
Automated accounting report generation
Secure delivery through healthcare provider
Complete audit trail maintained for 6+ years

BREACH NOTIFICATION PROCEDURES

Breach Discovery and Assessment

Immediate Response (0-24 hours)

Incident containment and preliminary assessment
Determination of breach scope and affected individuals
Initial notification to affected Covered Entities
Activation of incident response team

Investigation Phase (24-72 hours)

Comprehensive forensic investigation
Root cause analysis and impact assessment
Detailed breach report preparation
Implementation of immediate corrective measures

Notification Phase (As Required)

Covered Entity Notification: Within 24 hours of discovery
Individual Notification: Through Covered Entity "without unreasonable delay"
HHS Notification: Within 60 days (or assistance to Covered Entity)
Media Notification: If required for breaches affecting 500+ individuals

Breach Prevention

Proactive Measures

Continuous security monitoring and threat detection
Regular vulnerability assessments and penetration testing
Employee security training and awareness programs
Incident response planning and regular drills

Risk Mitigation

Multi-layered security architecture with redundant protections
Automated backup and disaster recovery procedures
Regular security updates and patch management
Comprehensive vendor security management

COMPLIANCE CERTIFICATIONS

Current Certifications

✅

SOC 2 Type II

- Independent audit of security controls

✅

HIPAA Compliant

- Comprehensive Business Associate compliance

✅

ISO 27001 Ready

- Information security management standards

✅

PCI DSS Compliant

- Payment card industry security standards

Compliance Documentation

Available Upon Request

SOC 2 Type II audit reports
HIPAA compliance assessment reports
Security policy and procedure documentation
Incident response and breach notification procedures
Business Associate Agreement templates
Risk assessment and mitigation documentation